REMEDY : BNSSG referral pathways & Joint Formulary
Covid -19 Specific information
Decision Support Tools Patient Information & Safety-netting Bone & Soft Tissue - USC (2WW) Brain & CNS - USC (2WW) Breast - USC (2WW) Cancer of Unknown Primary - USC (2WW) Children & Young People – USC (2WW) Family History of Cancer Gynaecology - USC (2WW) Haematology - USC (2WW) Lower GI - USC (2WW) Lung - USC (2WW) Non-Specific Symptoms - USC (2WW) Pancreas - USC (2WW) Skin - USC (2WW) Urology - USC (2WW) Head & Neck incl. Thyroid - USC (2WW) Upper GI - USC (2WW)
Advice & Guidance for GPs
Advice & Guidance Services Advice and Guidance Best Practice Triage Service (RAS) on e-Referral
Biochemistry
Alkaline Phosphatase Clinical Biochemistry in Primary Care Creatinine Kinase Hyperkalaemia Hyperlipidaemia Hypomagnesaemia Lipid A&G Service
Breast
Breast A&G Service Axillary masses Breast Implants (non-cancer) Breast Pain Breast Surgery Breastfeeding Family History of Breast Cancer Male Breast Symptoms Mastitis and Breast Abscess Nipple conditions
Cancer Screening
Bowel Cancer Screening Breast Cancer Screening Cervical Cancer Screening Pancreatic Cancer Surveillance Programme Lung Cancer Screening (LCS)
Cancer Support
Cancer Support A&G Service Cancer and Severe Mental Illness (SMI) LD & Cancer Living with and beyond cancer (LWBC) Nutrition in cancer Physio for NBT Cancer patients Post cancer - Digital Remote Monitoring and Personalised Stratified Follow Up Exercise programmes for people affected by cancer Toxicity Risk Assessment Tool
Cardiology
Cardiology A&G Services Angina Arrhythmia Atrial Fibrillation and Flutter Cardiac Rehabilitation Cardiac Rhythm Analysis Coronary Artery Calcification ECG - Open Access ECHO - requesting Heart Failure Hypertension Infective Endocarditis Inherited Cardiac Conditions NT Pro BNP Testing Pacemakers Postural Orthostatic Tachycardia Syndrome (PoTS) Pulmonary Hypertension Rapid Access Chest Pain Clinics Syncope and TLOC (non-traumatic) Thoracic Aorta Disease
Care of the Elderly
Care of the Elderly A&G Service Assistive Technology Service Falls & Balance Fracture Liaison Service Frailty Hearing Services Live Longer Better Movement Disorders NHS@home - Frailty pathway Rapid Assessment Clinic For Older People Referral pathways for older people
Community Therapy
Community Therapy
COVID-19
Acute Assessment COVID Medicine Delivery Unit (CMDU) COVID Oximetry @ Home Virtual Ward COVID Testing Long COVID TeamNet and Latest updates
Dementia
Dementia - Assessment & referral Dementia Prescribing Mental Capacity & Best Interest Decisions Mild Cognitive Impairment (MCI)
Dermatology
Acne vulgaris Actinic Keratoses Dermatology A&G Services Alopecia Basal Cell Carcinoma Benign Skin Lesions Bowen's Disease Community Dermatology Service Cosmetic skin treatments Eczema Hidradenitis Suppurativa Hyperhidrosis Leg Ulcer Mole Mapping/Surveillance Pityriasis Rosea Pityriasis Versicolor Polymorphic Light Eruption Pruritis Psoriasis Rosacea Scabies Seborrhoeic Dermatitis Skin Camouflage Tinea Tissue Viability/Wound Care Service Appearance-Related Concerns Urticaria Vulval Skin Care Warts and Verrucas
Diabetes
Community Diabetes Specialist Service Diabetes & Nutrition Diabetes A&G Services Diabetes Foot Care Diabetes Mellitus - Guidelines Diabetes self-management Diabetes Structured Education Diabetic Eye Screening Monogenic Diabetes Neuropathic Pain (Diabetic) Non-diabetic Hyperglycaemia and the National Diabetes Prevention Program Pregnancy and diabetes Rapid Access Diabetes Clinic Type 2 diabetes management Type 2 Path to Remission Programme
Dietetics & Nutrition
Dietetics & Nutrition A&G Service Local Services Malnutrition & Oral Nutritional Supplements Vitamin D Deficiency Weight management
Drug and Alcohol Misuse
Alcohol Misuse Opiate Dependence Non-opiate drug dependence North Somerset Drug & Alcohol Service South Gloucestershire Drug & Alcohol Service Bristol Drug and Alcohol Service Bristol Primary Care Liaison (formerly Shared Care)
DVT and PE
DVT and SVT Pathway Pulmonary Embolus (suspected) Secondary Care DVT Services Unprovoked DVT
Employment Support
Employment Support
Enablement
Bristol Centre for Enablement Wheelchair Services
End of Life Care and Hospice
Bereavement support Death Certification and Medical Examiner End of Life Care End of life care - community support ReSPECT Plus SR1 Form (formerly DS1500) St Peters Hospice Weston Hospice
Endocrinology
Adrenal incidentaloma Adrenal insufficiency Endocrinology A&G Service Endocrinology Services - UHBW and NBT Gynaecomastia Hirsutism Hyperprolactinaemia Hyperthyroidism Hyponatraemia Hypothyroidism Male hypogonadism Managing glucocorticoid withdrawal Polyuria Primary hyperparathyroidism (PHPTH) Secondary hypertension Sub Clinical hyperthyroidism Sub Clinical hypothyroidism Thyroid Disease and pregnancy Thyroid eye disease
ENT
ENT A&G Service Anosmia Audiology (adult) Dizziness and Vertigo Ear wax and microsuction ENT HOT Clinic Epistaxis Hearing Problems Middle ear problems Moulded Ear Plugs Nasal Treatment Neck Lumps (including Goitre) Otitis Externa Rhinosinusitis & Nasal Polyps Snoring Speech & Language Tinnitus Tonsils Uvula
Fertility
Infertility Semen Analysis
Gastroenterology and Colorectal Surgery
Advice and Guidance - Gastroenterology and Colorectal Surgery Anaemia (Iron Deficiency) Anal FIssure Barrett's oesophagus Coeliac Disease Colon Polyps Community Gastroenterology Clinic - InHealth Constipation in Adults Diverticular Disease Dyspepsia and Reflux Endoscopy Eosinophilic Oesophagitis Faecal Calprotectin FIT (Faecal Immunochemical Test) Gallstones (and polyps) Haemorrhoids and anal lesions Hiccups Inflammatory Bowel Disease (Confirmed) Inflammatory Bowel Disease (suspected) Irritable Bowel Syndrome Microscopic Colitis Pancreatitis (Acute) Pancreatitis (Chronic) and PEI Rectal Bleeding Stoma care Upper GI Bleed Urgent Gastroenterology Services
Gender Identity Genetics
Alpha 1 Antitrypsin Deficiency (AATD) Family History of Colorectal Cancer Genetic Haemochromatosis Genetics - general Lynch Syndrome Monogenic Diabetes Family History of Breast/Ovarian Cancer
Gynaecology
Abnormal Vaginal Bleeding Gynaecology A&G Service Cervical Conditions Dyspareunia Early Pregnancy Assessment Clinic Emergency Gynaecology Endometriosis Female Cosmetic Surgery Female Genital Mutilation Female Genitalia Surgery Female Urinary Incontinence Fibroids Hyperemesis Gravidarum Menopause Menstrual Disorders Mesh Complications Open Access Gynae Imaging Ovarian Conditions PCOS Pelvic Inflammatory Disease Pelvic Organ Prolapse Persistent Pelvic Pain (women) Premature Ovarian Insufficiency Recurrent Miscarriage Termination of Pregnancy Vulval Skin Conditions
Haematology
Haematology A&G Service Anaemia Blood Transfusions & Iron infusions Genetic Haemochromatosis Guidelines for Primary Care Leucocytosis (including neutrophilia and lymphocytosis) Lymphadenopathy (adults) Macrocytosis Polycythaemia Sickle Cell & Thalassaemia Vitamin B12 Warfarin monitoring
Hepatology
Hepatology A&G Service Genetic Haemochromatosis Liver disease Urgent Hepatology Service Viral Hepatitis
Homeless and Migrant Healthcare
Asylum Seeker and Refugee Health Homelessness Support
Imaging - see Radiology
Immunology
Immunology & Allergy A&G Services Immunology & Allergy Guidelines
Infectious Diseases and Microbiology
Advice & Referrals - Infectious Diseases and Microbiology Antimicrobial Guidelines (Primary Care) Clostridioides difficile in the community COVID -19 (Coronavirus) Group A Strep Helicobactor Pylori Immunisation Schedules Infection Sciences Test Sample Quick Guide Influenza Lyme Disease Malaria Measles Mpox Mumps Public Health and Notifiable Diseases Syphilis Tuberculosis Varicella Vector Borne Diseases Viral Haemorrhagic Fever (incl Ebola) Whooping Cough Middle Eastern Respiratory Virus - MERS-CoV
Investigations
Biochemistry Advice Chronic Disease Monitoring Community Diagnostic Centres Community phlebotomy Inflammatory Marker Testing Medical Calculators Transport and storage of samples Pathology Services
Learning Disabilities
Adult Learning Disability Health Service Constipation and Learning Disability Dyslexia Dyspraxia / DCD in adults LD & Autism Hospital Liaison LD & Cancer Screening LeDeR - learning disability mortality reviews Mental Capacity & Best Interest Decisions Resources for Learning Disability Annual Health Checks and Health Action Plans Stop over medication (STOMP)
Lifestyle advice
Lifestyle advice
Max Fax and Dental
Max Fax and Dental A&G Service Cleft Lip and/or Palate (adult) Dental Care Reconstructive Prosthetics Services Salivary Gland Problems Temporomandibular Joint Disorders Trigeminal Neuralgia
Menopause
Alternatives and Adjuncts to HRT Cardiovascular conditions and HRT Contraception and Menopause Diagnosing menopause Early menopause - under 45 Genitourinary symptoms Gynaecology conditions and HRT Hormone Replacement Therapy (HRT) HRT and breast conditions HRT and Migraines HRT in over 60s Hormone sensitive cancers Post-menopausal bleeding - not on HRT Premature Ovarian Insufficiency (Menopause <40y) Referral - Menopause Side effects and risks of HRT Testosterone for low libido Unscheduled bleeding on HRT VTE and HRT Resources for patients
Mental Health
24/7 Mental Health Support ADHD (adult) Autism-Spectrum Depression (adults) Eating Disorders Gambling Addiction HOPE programme ICU Follow-up NBT Insomnia MINT (Mental health and wellbeing Integrated Network Team) Mental Health - Social Prescribing Mental Health Support - Which Service Neuropsychiatry Perinatal Mental Health Primary Care Liaison Service - AWP Psychosis: Schizophrenia Safe Haven Mental Health Support Sanctuary (Bristol) Mental Health Support Second Step Wellbeing Services Self Harm Self-help Leaflets for Mental Health Sexual Assault / Abuse Support SMI (Severe Mental Illness) Physical Health Improvement Suicidal Thoughts Talking Therapies (IAPT) Coping With Appearance Concerns Veterans Mental Health Right to Choose (ADHD/ASD Patient Choice)
Nephrology
Nephrology A&G Service Acute Kidney Injury Chronic Kidney Disease Renal referrals (including urgent referrals)
Neurology
Neurology/HOT Clinic A&G Service Neurovascular/Stroke A&G Service Bell's Palsy Cognitive Disorders Concussion / mild traumatic brain injury First Seizure Clinic Head Injury Therapy Unit Headache (adults) Huntington's Disease Multiple Sclerosis Neuromuscular Neurophysiology Neuropsychiatry Parkinson's Disease Peripheral Neuropathy- Under Review Restless Leg Syndrome Spasticity service Specialist Community Neurology Stroke Transient Ischaemic Attack Tremor Trigeminal Neuralgia
Neurosurgery
Neurosurgical Referrals - General Arachnoid cysts Brain Conditions Cauda Equina Syndrome Epilepsy surgery and DBS Normal Pressure Hydrocephalus Peripheral Nerve Conditions Spinal Conditions Subdural Haematoma Trigeminal Neuralgia
Nursing
Lymphoedema Community Nursing
Obstetrics
Obstetrics A&G Service Cholestasis of Pregnancy Diabetes in Pregnancy Early Pregnancy Assessment Clinic Family Nurse Partnership Folic acid and Vitamin B12 in pregnancy Group B Strep in Pregnancy Hyperemesis Gravidarum Hypertension in pregnancy Maternity Services Perinatal Mental Health Post Natal Care Termination of pregnancy Thyroid Disease and Pregnancy Vaccination in Pregnancy
Oncology
Oncology A&G Service BHOC Acute Care Cancer Support Oncology Referrals
Ophthalmology
Acute Angle Closure Glaucoma Ophthalmology A&G Service Allergic Eye Disease Anterior Uveitis / Iritis Blepharitis Cataract Chalazion & Styes Chemical injury Conjunctivitis Contact Lens Related Keratitis (Corneal Ulcer) Corneal Abrasion Corneal Foreign Body Dry Eye Endophthalmitis Episcleritis Eyelid conditions Floaters & Flashes Giant Cell Arteritis Glaucoma Hyphaema Low Vision Neuro-ophthalmology Open Eye Injury Ophthalmic Shingles Orbital Trauma / Suspected Orbital Fracture Pingueculum & Pterygium Pre-septal and Post-septal Cellulitis Referral Guidance & Tips Subconjunctival Haemorrhage Urgent Ophthalmology Referrals
Orthopaedics
Acute knee & shoulder clinics Orthopaedics A&G Service Back pain/ Spinal pathway Carpal Tunnel Syndrome Dupuytren's Contracture Foot and Ankle Problems Fracture Clinics Funding Policies for Orthopaedics Ganglion getUBetter app Hand problems Hip Pain Knee Pain Meralgia Paraesthetica MSK Foot & Ankle service Musculoskeletal (MSK) self-help Musculoskeletal Interface (MSKI) Service Periprosthetic hip infection Shoulder Problems Sports Injuries Steroid injections Trigger Finger
Pain Management and CFS
Acupuncture Pain Management A&G Service Back Pack Fibromyalgia ME/Chronic Fatigue Syndrome Persistent (Chronic) pain Spinal Cord Stimulation Service
Physiotherapy
Physiotherapy A&G Service Divarication of Recti MSK Physio services Neurophysiotherapy Pelvic Health Physio Respiratory Physio Self-management Hip & Knee pain
Podiatry
Podiatry A&G Service Community Podiatry Services Ingrown Toenail
Prescribing
Alternative Medicine Antibiotics Cannabis prescribing Community Pharmacy Hosiery Medication to avoid in dementia patients Medicines for Self Care Medicines Quality and Safety NHS@Home - IV antimicrobials (OPAT) Opioid Conversion Prescribing in pregnancy and breastfeeding Psychotropic Medication Monitoring Toxbase Vitamin D
Radiology imaging
Advice & Queries Direct Access Radiology (adults) ICE System for Radiology (& Pathology) Referrers Image Guided Steroid Injections MRI considerations Radiology Guidelines for Primary Care Spinal Imaging in Primary Care Ultrasound guidance
Respiratory
Respiratory A&G Service Air pollution and health Asthma (adults) Breathing Pattern Disorders Bronchiectasis Chronic Breathlessness Support Chronic cough Chronic Obstructive Pulmonary Disease Community Respiratory Service Fit to Fly Assessments Home oxygen ordering HOT Clinics (Respiratory) Interstitial Lung Disease Long-term Ventilation (LTV) Service myCOPD App NHS@home - Respiratory pathway Obstructive Sleep Apnoea Pleural Services Pulmonary Rehabilitation Respiratory Triage Services (RAS) Smoking Cessation Spirometry and Lung Function Tests Tuberculosis Lung Cancer Screening (LCS)
Rheumatology
Rheumatology A&G Service Axial Spondyloarthritis (including ank spond) Early Inflammatory Arthritis Fibromyalgia Giant Cell Arteritis Gout (Crystal Arthropathy) Hypermobility and EDS Osteoporosis Osteoporotic Vertebral Fracture Polymyalgia Rheumatica (PMR) Psoriatic Arthritis (PsA) Raynaud's Phenomenon Sjorgren's Sydrome Systemic Lupus Erythematous Young Adult Rheumatology Service
Safeguarding
Adult Safeguarding BNSSG Safeguarding Team & Training Domestic Violence and Abuse Sexual assault/ abuse support PREVENT
Self Care
Better Health North Somerset Exercise on referral HOPE programme Live Longer Better Musculoskeletal (MSK) self-help South Gloucestershire Self Care Smoking Cessation
Sexual Health
Sexual Health A&G Service Chronic Pelvic Pain Syndrome (men) Contraception Emergency Contraception Gonorrhoea HIV LARC LARC Complex referrals Loss of Libido Mpox Pelvic Inflammatory Disease Post Birth Contraception Psychosexual Service Sexual assault/ abuse support Sexual Health Guidelines and Referral Syphilis
Sleep Medicine
Circadian Rhythm Disorder Insomnia Obstructive Sleep Apnoea (OSA) Parasomnias Primary Hypersomnias Restless Leg Syndrome
Social Care
Social Care Support Services Carer Assessment and Support
Social Prescribing Speech & Language
Speech and language therapy (SLT) - community and outpatient services
Surgery
Advice & Guidance Service Cosmetic Treatment (including scar revision) Foreign Body Removal (soft tissue) Hernias (adults) Burns (adult) Pre-operative assessment Reconstructive Prosthetics Services Surgical Emergency Care
Urgent Care
Admission protocols Dementia Wrap Around Care - North Somerset Frailty - ACE Frailty - Urgent Care HOT Clinics & Rapid Access Live UEC Dashboard Medical Assessment/Admission and Weekday IUC Professional Line NHS@home Septicaemia (adults) Sirona Professional Lines Surgical Emergency Care Transport to Hospital Urgent Care, MIU & WIC Urgent Community Response - Sirona Urgent Urology Pathway
Urology
Acute Prostatitis Urology A&G Service Bladder & Bowel Self Care App Bladder & Bowel Services Chronic Prostatitis Circumcision in adults Erectile Dysfunction Female Urinary Incontinence Haematospermia Haematuria Hydrocele LUTS in men Mesh complications Overactive Bladder Penile Disorders Prostate - including PSA Renal Calculi Scrotal Swellings & Testicular Lumps & Pain Sterile Pyuria Trial Without Catheter (TWOC) Urgent Care and Admissions (Urology) - under review Urinary Tract Infections Urodynamics UTIs in Care Homes Varicocele Vasectomy
Vascular
Vascular A&G Service Aortic Dissection Arterial Leg Ulcers Carotid Artery Stenosis NHS Health Check Varicose Veins and Venous Leg Ulcers Vascular Nurse Specialist Clinic Peripheral Arterial Disease Vascular Hot Clinic Abdominal Aortic Aneurysm
Weight Management
Digital Weight Management Low Calorie Diet Pilot Non-diabetic Hyperglycaemia and the National Diabetes Prevention Program (NDPP) Post Bariatric Surgery Monitoring Weight Management - Tirzepatide (Mounjaro) Introduction & Tier 1 Weight Management Services Tier 2 Weight Management Services - BNSSG Tier 3 & 4 Weight Management Service - BNSSG
Paediatrics A&G Service
Paediatrics A&G Service
Allergy
Allergy Advice & Guidance Adrenaline Auto-Injectors (AAI) Food Allergy Milk Related Problems
Breastfeeding
Breastfeeding problems Infant Feeding Support Tongue Tie
Bristol Royal Hospital for Children guidelines
Bristol Childrens Hospital Guidelines
Cancer Support Cardiology
Syncope in Children
Children's Community Services
Children's Community Services
Chronic Fatigue (ME/CFS)
ME/CFS
Continence - Enuresis & Constipation
Bladder Symptoms in Children Constipation in Children
COVID-19
COVID Medicine Delivery Unit (CMDU) Long COVID in children
Dental & Oral Health
Dental Referrals Mouth ulcers
Dermatology
Advice & Guidance - Dermatology Benign skin lesions in children Community Dermatology Services Dermoid Cysts Eczema IgA Vasculitis (Previously Henoch-Schonlein Purpura) Pilomatricoma Nappy Rash
Development
Developmental impairment Dyspraxia / DCD in children Faltering Growth Motor Disorders Neonatal milk & vitamin guideline Sleep Disorders Speech and Language Therapy
Diabetes
Diabetes Mellitus in Children
Dietetics & Nutrition
Paediatric Nutrition and Dietetic Service PICA (eating non-edible items) Avoidant and Restrictive Food Intake Disorder (ARFID)
Drug and Alcohol Misuse
Drug and Alcohol Services for Children Other related services
Eating Disorders
Eating Disorder Care Pathway
Education
Bristol Hospital Education Service (BHES)
Enablement End of life care (children)
End of life care - children When a child dies
Endocrinology
Endocrine Services Growth and Puberty
ENT
Audiology Bell's Palsy Cleft lip and / or palate Ear wax in children ENT HOT Clinic (paediatric) Epistaxis Middle ear problems Motion sickness Moulded Ear Plugs Nasal problems Sleep Apnoea in Children Sore throat Speech & Language Tongue Tie Tonsils and Adenoids
Gastroenterology
Chronic Abdominal Pain and IBD Coeliac disease (children) Constipation Diarrhoea and vomiting Faltering Growth Milk Related Problems Neonatal milk & vitamin guideline Reflux Disease Helicobacter Pylori (H-Pylori)
Gender Identity
Gender Incongruence in children and young people
Gynaecology
FGM in children (<18) Gynaecology (paediatric and adolescent) The Star Clinic Vulvovaginitis
Haematology
Anaemia Immune Thrombocytopenia (ITP) Neutropenia Paediatric Sickle Cell & Thalassaemia
Immunisation
Hep B vaccine for at risk infants Paediatric Immunisation TB screening and BCG
Infectious Diseases
Chicken Pox - parents guide Feverish illness Lymphadenopathy (Benign) in Children Respiratory tract infections Scarlet Fever/ Group A Strep
Mental Health
Asylum & Refugee Clinic (ARC) Mental Health Resources for Children and Young People CAMHS mental health 24/7 emergency line CAMHS Referral information HappyMaps Self-harm in Children and Young People
Milk Related Problems
Milk Related Problems
Neonatal
Hep B vaccine for at risk infants Jaundice Neonatal milk & vitamin requirements Sacral dimples and pits Umbilical Granuloma
Nephrology
Haematuria in Children IgA Vasculitis (Previously Henoch-Schonlein Purpura)
Neurology
Bell's Palsy Febrile Convulsions Fits, Faints and Funny Turns Headache Head injury Neuromuscular Neurosurgery Tics and Tourette's in children
Occupational Therapy Ophthalmology
Advice & Guidance Referral Guidance Orbital Cellulitis
Orthopaedics
Back pain Hip Dysplasia Limping - acute limp in children Lower Limb Scoliosis Urgent & Non-urgent Referrals
Pain Management
Chronic/ Complex Pain Management
Palliative Care
End of life care - children Lifetime Service
Parents Information Leaflets
Accurx templates for CYP Bronchiolitis - parents guide Chicken Pox - parents guide Common Childhood Illness - HandiApp Constipation - A guide for parents Cough - parent information Croup - parents guide Diarrhoea and vomitting - parents guide Febrile Convulsions - parents guide Feverish Illness - parents guide Gastro-oesophageal Reflux - parents guide Head Injury - parents guide Healthier Together - Parent Advice Increasing Iron Intake Sore Throat - parents guide Swallowing Pills Advice Umbilical Granuloma - parents guide Vulvovaginitis Weaning to a Cows milk free diet Wheezy action plan
Phlebotomy
Paediatric Phlebotomy
Physiotherapy
Community physiotherapy MSK Physiotherapy
Plagiocephaly
Plagiocephaly and Craniosynostosis
Podiatry for children Radiology
Paediatric Radiology
Respiratory
Advice & Guidance - Respiratory Asthma in Children- acute (including wheeze) Asthma in Children - Chronic Bronchiolitis Community Acquired Pneumonia Cough (including PBB) Croup Sleep Apnoea in Children Tuberculosis (children)
Safeguarding Children
BNSSG Safeguarding Team & Training Referrals & Procedures Be Safe Support for children Children in Care and Care Leavers (also known as Looked After Children)
School Nurse and Health Visiting
Health Visiting School Nurse Service
Self Care
Self care (paediatric) & family support
Special Educational Needs & Disability (SEND)
ADHD Care Pathway for school age children Auditory Processing Disorder (APD) Autism spectrum disorder (ASD) Dyslexia Early Years Support Practitioner (SEND) Service (BRISTOL) SEND Sleep in children and young people Stop over medication (STAMP)
Speech & Language
Speech and Language Therapy
Surgery
Breast Symptoms in Children Burns (children) Chest Wall Deformity Hernias in Children Paediatric Surgery Inc. Urology Umbilical Granuloma
Urgent Care
Assessment of acutely unwell children Common Urgent Care Conditions Rapid Access Clinic Septicaemia (children) Urgent Care Referrals Urgent Orthopaedic Referrals
Urology
Circumcision in children Continence Hydrocele (paediatric) Penis abnormalities in children Surgery & Urology Urinary Tract Infections Varicocele
Vitamin D Deficiency
Vitamin D Deficiency
Weight Management
CYP Weight Management (previously COCO) Tier 1/2 CYP Weight Management Services BNSSG
Service Guide
About the EFR Service List of Funding Policies
BNSSG Referral Service Datix Concerns Reporting Development Area
Abscesses, Boils and Carbuncles (DRAFT) Advice & Guidance Services (DRAFT) Domestic Violence and Abuse (DRAFT) Support for children (DRAFT) Anaemia in Pregnancy _ Draft Avascular Necrosis of Femoral Head - Draft Back pain/ Spinal pathway - Draft Catheter Maintenance - Draft Cauda Equina Syndrome - DRAFT Cervical Conditions (DRAFT) Community Urology Service - GP Care (DRAFT) Consumer Genetic Testing - DRAFT Family History of Breast and Ovarian Cancer (DRAFT) Fibroids (DRAFT) Hyperemesis Gravidarum DRAFT Menstrual Disorders - (DRAFT) Muscle Cramps - Draft Needlestick injury - DRAFT Neurosurgery - DRAFT Obsolete pathways Ovarian Conditions - (DRAFT) Paediatric Rheumatology - Draft Papilloedema - Draft PCOS (DRAFT) Phlebotomy (DRAFT) Pyogenic Granuloma - Draft Raised inflammatory Markers - Draft Sexually Transmitted Infections - guide to swabs - DRAFT Shared Decision Making DRAFT Surgery A&G Services - DRAFT TEST Vaccinations (DRAFT) Vascular Hot Clinic - DRAFT Vitamin B12 - interim guidelines DRAFT Reconstructive Prosthetics - DRAFT Advice & Guidance Services (DRAFT) (v.2) PREVENT (DRAFT) Adult Safeguarding (DRAFT) Ketamine Bladder - Draft Asthma in Children - Chronic (DRAFT) Referrals & Procedures (DRAFT) Be Safe and Youth Inclusion Support Project (DRAFT) Female Urinary Incontinence (DRAFT) BNSSG Safeguarding Team & Training (DRAFT) BNSSG Safeguarding Team & Training (DRAFT) (V2) Hyperbilirubinaemia - DRAFT Dyspepsia in children - DRAFT Vaginal Discharge - Draft Halitosis - Draft Infectious Vaginitis (DRAFT)
Diagnostic Tests - locations available Greener Practice Hospital Discharge Pathways Hospital waiting times Language Services - Interpreting and Translation Live Urgent and Emergency Care Dashboard Managed Referrals in EMIS NHS App NHS Health Checks Patient Initiated Follow-up Patients with a visual impairment Remedy Updates Second Opinions Special Allocation Scheme
BNSSG Joint Formulary
About the BNSSG Joint Formulary Formulary Process Joint Formulary Paperwork Purpose and Format of the Joint Formulary Meeting dates Shared Care The Traffic Light System and Classification of Medicines Non-formulary and Unlicensed Medicines Biosimilars
BNSSG Guideline Process and APMOC Paperwork
Area Prescribing Medicines Optimisation Committee (APMOC) APMOC Paperwork
Recent Decisions
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
Drugs A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Chapters
1. Gastro-Intestinal System 2. Cardiovascular System 3. Respiratory System 4. Central Nervous System 5. Infections 6. Endocrine System 7. Obstetrics, Gynaecology and Urinary-tract Disorders 8. Malignant Disease and Immunosuppression 9. Nutrition and Blood 10. Musculoskeletal and Joint Diseases 11. Eye 12. Ear, Nose and Oropharynx 13. Skin 14. Immunological Products and Vaccines 15. Anaesthesia 16. Palliative Care 17. Miscellaneous Preparations
Local Guidelines
1. Gastro–intestinal System Guidelines 2. Cardiovascular System Guidelines 3. Respiratory System Guidelines 4. Central Nervous System Guidelines 5. Infections Guidelines 6. Endocrine System Guidelines 7. Obstetrics, Gynaecology and Urinary-tract Disorders Guidelines 8. Malignant Disease and Immunosuppression Guidelines 9. Nutrition and Blood Guidelines 10. Musculoskeletal and Joint Diseases Guidelines 11. Eye Guidelines 12. Ear, Nose and Oropharynx Guidelines 13. Skin Guidelines 14. Immunological Products and Vaccines Guidelines 16. Palliative Care Guidelines 17. Polypharmacy 18. Care Homes 19. Other 20. Appliances and Part IX Botulinum Toxin A Pathways
SCPs
SCPs
Wound Care / Formeo
Wound Care / Formeo
Patient Group Directions
Community Pharmacy Minor Ailment PGDs Healthcare professionals working in primary care PGDs NHSE PGDs BNSSG-wide PGD Policy and Process BNSSG PGD templates
NHS@Home
Community IV Charts Standard Operating Procedures
Community Pharmacy Information
Community Pharmacy Information
Stock Shortages
Management of Stock Shortages
Medicines Safety
Medicines Quality and Safety Adding a Drug to EMIS Web as a 'Hospital Issue' World Patient Safety Day
Medicines Optimisation Strategy
Medicines Optimisation Strategy
Contact Us Drug category
BNSSG Joint Formulary
About the BNSSG Joint Formulary
Formulary Process and Paperwork
Formulary Process Joint Formulary Paperwork Purpose and Format of the Joint Formulary The Traffic Light System and Classification of Medicines Non-formulary and Unlicensed Medicines Shared Care APMOC Paperwork
Recent Decisions
No Date 2012 2013 2014 2016 2019 2020 2021 2022 2023 2024 2025
Drugs A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Paediatric Chapters
1. Gastro-intestinal System 2. Cardiovascular system 3. Respiratory System 4. Nervous system 5. Infections 6. Endocrine system 7. Obstetrics, gynaecology, and urinary-tract disorders 8. Malignant Disease and Immunosuppression 9. Nutrition and Blood 10. Musculoskeletal and joint diseases 11. Eye 12. Ear, Nose and Oropharynx 13. Skin 14. Immunological products and vaccines 15. Anaesthesia 16. Palliative Care 17. Miscellaneous Preparations
Paediatric Local Guidelines
1. Gastro–intestinal system Guidelines 3. Respiratory System Guidelines 4. Nervous System Guidelines 5. Infections Guidelines 6. Endocrine system Guidelines 9. Blood and nutrition Guidelines 13. Skin Guidelines 20. Appliances and Part IX
Paediatric Shared Care Protocols
SCPs
Stock Shortages
Management of Stock Shortages
Contact Us Drug category
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Referral Reviews
Bristol
MSK Interface Service Bristol - Dementia Wellbeing Service
North Somerset
Sirona / South Glos
Specialist Falls Service South Glos - Memory Service & Dementia Support Assistive Technology Service
Bath RUH
Pain Clinic - RUH Bath
NBT
Pain clinic - NBT Back Pack - NBT NBT - Cognitive Disorders Clinic Endocrinology NBT Arts on Referral for Chronic Pain - NBT Falls Service : NBT Neuropsychiatry Sleep Disorders clinic - NBT Arts on Referral for Neuromuscular Condition - NBT
UHB Trust
Pain Clinic - UHBW Endocrinology UHBW UHBW - Geriatric Medicine
NBT and UHBW
Rheumatology - Back pain
Bristol City Council
Strength & Balance classes : Bristol City Council Everyone Active and ReACT - Bristol
North Somerset Council
North Somerset - Memory Service & Alzheimer's Society
South Glos Council
Age UK Somerset
Staying Steady : Age UK Somerset
AWP
Bristol - Psychosis Early Intervention South Glos - Psychosis Early Intervention North Somerset - Psychosis Early Intervention Primary Care Liaison Service
NHS Talking Therapies - Living Well with Chronic pain
Admission protocols Dementia Wrap Around Care - North Somerset Frailty - ACE Frailty - Urgent Care HOT Clinics & Rapid Access Live UEC Dashboard Medical Assessment/Admission and Weekday IUC Professional Line NHS@home Septicaemia (adults) Sirona Professional Lines Surgical Emergency Care Transport to Hospital Urgent Care, MIU & WIC Urgent Community Response - Sirona Urgent Urology Pathway
Assessment of acutely unwell children Common Urgent Care Conditions Rapid Access Clinic Septicaemia (children) Urgent Care Referrals Urgent Orthopaedic Referrals

BNSSG Adult Joint Formulary
Home > Formulary : Adult > BNSSG Guideline Process and APMOC Paperwork >

APMOC Paperwork

APMOC Guideline Approval Form

For any queries regarding the Guideline Process or submitting guidelines/approval forms please email: bnssg.medicinesguidelines@nhs.net

 

APMOC Meeting dates 2025/26

 

APMOC Date

Time

Venue

Cut-off dates to submit paperwork (COP)

Thursday 4th December 2025

13:30 – 16:00

Microsoft Teams

Wednesday 19th November 2025

Thursday 5th February 2026

13:30 – 16:00

Microsoft Teams

Wednesday 21st January 2026

Thursday 2nd April 2026

13:30 – 16:00

Microsoft Teams

Wednesday 18th March 2026

Thursday 4th June 2026

13:30 – 16:00

Microsoft Teams

Wednesday 20th May 2026

Thursday 6th August 2026

13:30 – 16:00

Microsoft Teams

Wednesday 22nd July 2026